Organization
PACIFIC HEALTH INC
Active
Other names
PHI PHARMACY II
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA WISE PHARMD (GENERAL MANAGER)
(670) 235-6175
Entity
Organization
Contact information
Practice address
JOETEN DANDAN CENTER, MNSGR GUERRERO RD., DANDAN, SAIPAN, MP 96950
(670) 235-6174
(670) 235-6180
Mailing address
PO BOX 505089, SAIPAN, MP 96950-4314
(670) 235-6175
(670) 235-6180
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RP003
MP
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2112142
PK
—
Enumeration date
04/03/2007
Last updated
03/10/2020
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